Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,621.81	Facility		$1,174.90	$1,318.26	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,318.26	Professional		$645.65	$933.25	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,905.46	Facility		$912.01	$912.01	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,238.72 / $2,818.38	Professional		$912.01	$2,238.72	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $1,995.26	Professional		$1,548.82	$1,905.46	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $7,585.78	Facility		$1,148.15	$2,187.76	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,818.38	Professional		$812.83	$1,096.48	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,238.72	Professional		$1,862.09	$1,949.84	$2,238.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $2,818.38	Professional		$1,659.59	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,122.02 / $2,398.83	Facility		$630.96	$1,122.02	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,621.81	Professional		$776.25	$870.96	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,659.59	Professional		$1,318.26	$1,659.59	$1,659.59